Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Facility		$66.95	$66.95	$66.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $66.95 / $66.95	Professional		$47.72	$66.95	$66.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $142.31 / $142.31	Facility		$142.31	$142.31	$142.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $129.25 / $161.57	Professional		$81.77	$129.25	$161.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $68.23 / $338.34	Facility		$7.44	$68.23	$338.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $64.11 / $107.69	Professional		$36.61	$64.11	$107.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $116.30 / $130.61	Facility		$91.92	$116.30	$130.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $116.30 / $185.91	Professional		$79.13	$116.30	$185.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $166.33 / $195.68	Professional		$86.15	$166.33	$195.68
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $64.11 / $94.02	Professional		$29.92	$64.11	$94.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Professional		$71.23	$71.23	$71.23